HomeMy WebLinkAboutHomestead_Baker (2) STATE FORM 51500(N/61RJ TREASURER FORM TS-LA
APPROVED BI STATE BOARD OF ACCOUNTS,'-UA FREsCRInFD BY THE DEPARTMENT OF LOCAL COYER%MEYW FINANCE Ice- nsu
,Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS '
101 N. Main Street Individuals and marred couples are limited to one homestead standard deduction.As the receipt of this deduction becomes '
Princeton, IN 47670 - more beneficial,there is more incentive than ever for homestead faud.Homestead fraud muses higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
FILED filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools thai will help county officials eliminate homestead fraud
PART I: PROPERTY INFORMATION •
APRs 2 '. Taxpayer Name Location Address
Baker, James S III/Corellen.'
C f! -{ -
v rV\ `201 N SCOTT
2GIBSON COUNTY AUDITOR - owENSVILLE IN 47655
James S 111/Corellen Baker III 11010111.0111 on IV 011011.111011101011101 011011111.11101011111ilUII[Illtill[IIVI VII
201 N Scott ST
Owensville IN 47665-8762
IIIltttlllFltlll11111F1111111dIsINi11111""111ii11111t1111ttt State Parcel Number Legal Description
26-18-07-101-000:024-022 PT NW 7-3-11 .15 AC SCOTT
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This form MUST be returned to County Auditor's office. ,
Please do NOT send this form back with your tax payment to the county treasurer.
- PART 2:TAXPAYER INFORMATION- •
ON' I - First . Middle Last
u tArngS � r )' 4)4- 9-,t_ j-LL
Mailing Address(number and street,city,state,and ZIP code) _ .fl Same as property address -
2d( I U Sc_07-7" 5 T L zv ' ii 7d 6 S
�
Spouse - _ First - Middle Last -
Mailing Address(Numlxi and sbmt,city,sate,and ZIP code)—- _•.. - - ---- --u-Same as propertyaddress -- , _--
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
1 , I I I . -I I I I I 5Hu
. PART 3: CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersignedalso understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties. .-Owner I Signature - . - " Date Telephone F
— ).
tgnatwe Date Telephone
( )
PART 4: ADDITIONAL INFORMATION . .